Individual
KAITLYN RENEE MACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
105 E KING ST, LANCASTER, PA 17602-2803
(717) 397-0156
(717) 397-1782
Mailing address
33 ROLLINS LN, WILLOW STREET, PA 17584-8606
(717) 725-5908
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
SW137321
PA
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
NA
PA
Other
Enumeration date
11/10/2019
Last updated
09/01/2021
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